PMID- 34678474 OWN - NLM STAT- MEDLINE DCOM- 20220117 LR - 20221221 IS - 1878-1519 (Electronic) IS - 1569-9048 (Print) IS - 1569-9048 (Linking) VI - 296 DP - 2022 Feb TI - Mechano-inflammatory sensitivity of ACE2: Implications for the regional distribution of SARS-CoV-2 injury in the lung. PG - 103804 LID - S1569-9048(21)00190-7 [pii] LID - 10.1016/j.resp.2021.103804 [doi] AB - The coronavirus disease (COVID-19) caused by SARS-CoV-2 can result in severe injury to the lung. Computed tomography images have revealed that the virus preferentially affects the base of the lung, which experiences larger tidal stretches than the apex. We hypothesize that the expression of both the angiotensin converting enzyme-2 (ACE2) receptor for SARS-CoV-2 and the transmembrane serine protease 2 (TMPRSS2) are sensitive to regional cell stretch in the lung. To test this hypothesis, we stretched precision cut lung slices (PCLS) for 12 h with one of the following protocols: 1) unstretched (US); 2) low-stretch (LS), 5% peak-to-peak area strain mimicking the lung base; or 3) high-stretch (HS), the same peak-to-peak area strain superimposed on 10% static area stretch mimicking the lung apex. PCLS were additionally stretched in cigarette smoke extract (CSE) to mimic an acute inflammatory exposure. The expression of ACE2 was higher whereas that of TMPRSS2 was lower in the control samples following LS than HS. CSE-induced inflammation substantially altered the expression of ACE2 with higher levels following HS than LS. These results suggest that ACE2 and TMPRSS2 expression in lung cells is mechanosensitive, which could have implications for the spatial distribution of COVID-19-mediated lung injury and the increased risk for more severe disease in active smokers and patients with COPD. CI - Copyright (c) 2021 Elsevier B.V. All rights reserved. FAU - Bartolak-Suki, Erzsebet AU - Bartolak-Suki E AD - Department of Biomedical Engineering, Boston University, Boston, MA, United States. FAU - Mondonedo, Jarred R AU - Mondonedo JR AD - Department of Thoracic Surgery, University of Michigan, Ann Arbor, MI, United States. FAU - Suki, Bela AU - Suki B AD - Department of Biomedical Engineering, Boston University, Boston, MA, United States. Electronic address: bsuki@bu.edu. LA - eng GR - U01 HL139466/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20211019 PL - Netherlands TA - Respir Physiol Neurobiol JT - Respiratory physiology & neurobiology JID - 101140022 RN - EC 3.4.17.23 (Ace2 protein, rat) RN - EC 3.4.17.23 (Angiotensin-Converting Enzyme 2) SB - IM MH - Angiotensin-Converting Enzyme 2/*biosynthesis MH - Animals MH - Cells, Cultured MH - Lung/cytology/*metabolism MH - Lung Injury/*metabolism MH - Male MH - Mechanotransduction, Cellular/*physiology MH - Rats MH - Rats, Sprague-Dawley MH - SARS-CoV-2/*metabolism PMC - PMC8524802 OTO - NOTNLM OT - Gravity OT - Mechanotransduction OT - Receptor expression OT - Stretch EDAT- 2021/10/23 06:00 MHDA- 2022/01/18 06:00 PMCR- 2021/10/19 CRDT- 2021/10/22 20:34 PHST- 2021/09/14 00:00 [received] PHST- 2021/10/12 00:00 [revised] PHST- 2021/10/17 00:00 [accepted] PHST- 2021/10/23 06:00 [pubmed] PHST- 2022/01/18 06:00 [medline] PHST- 2021/10/22 20:34 [entrez] PHST- 2021/10/19 00:00 [pmc-release] AID - S1569-9048(21)00190-7 [pii] AID - 103804 [pii] AID - 10.1016/j.resp.2021.103804 [doi] PST - ppublish SO - Respir Physiol Neurobiol. 2022 Feb;296:103804. doi: 10.1016/j.resp.2021.103804. Epub 2021 Oct 19.